Cristian Costas - Coeliac Symptoms, Cutting Diagnosis Times + The End of Endoscopies?

OH CRUMBS SEASON 2 EPISODE 1 - FEATURING CRISTIAN COSTASOh Crumbs - The Gluten Free Podcast. A podcast about all things gluten free, coeliac disease and staying positive despite your dietary requirements. By gluten free bloggers Sarah Howells and Laura Strange. Welcome back to SEASON 2 of Oh Crumbs! That’s right, we’re back after a (slightly-longer-than-planned) break and we’ve got a BIGGER and BETTER season than ever, with lots of expert gluten free guests.This week we spoke to Cristian Costas, a gastroenterologist dietitian specialising in coeliac disease. We chatted about SO many things, from lesser known coeliac symptoms and getting a diagnosis, to what to do about persisting symptoms and dealing with social anxiety when eating out. We also chatted about some exciting research into reducing testing times, the use of AI to diagnose coeliac and lots, lots more. We crammed a LOT into this episode so get your notepads and pens out!If you enjoy this episode, please could you spare a few moments to leave us a rating on the platform you’re listening on? It really helps support the podcast and help us to spread awareness about coeliac disease and gluten free life! Thank you so much!!Sarah and Laura xxCHAPTERS00:00Welcome Back to Old Crumbs!04:51Introducing Cristian Costas05:42Coeliac Disease Awareness and Support07:22Building Community and Overcoming Challenges09:32Enjoying Life with Coeliac Disease10:25Understanding Coeliac Disease Symptoms17:08Navigating the Diagnosis Process24:13Future of Coeliac Disease Diagnosis30:06Challenges After Diagnosis37:14Social Anxiety and Coeliac Disease38:09Quality of Life and Gluten-Free Diet39:58Individualised Approaches to Gluten-Free Living43:09Addressing Persistent Symptoms Post-Diagnosis46:22The Importance of Food Diaries49:05Challenges in Accessing Dietitian Support51:14Understanding Overlapping Conditions54:04The Role of Inclusion in Dietary Management56:20Final Thoughts and Wisdom for New Diagnoses01:02:04Coming Up Next Week...USEFUL LINKS: Oh Crumbs Instagram: www.instagram.com/ohcrumbspodcast Oh Crumbs Facebook: www.facebook.com/ohcrumbspodcastFIND CRISTIAN: Find him @coeliac_dietitian on Instagram, book a private appointment with Cristian via City Dietitians: https://www.citydietitians.co.uk/cristian-costas FIND LAURA: Find recipes, travel guides and more at: www.mygfguide.com/ (or find her on socials @myglutenfreeguide. Find her book Eat & Enjoy Gluten Free on Amazon and all good booksellers.FIND SARAH: Find recipes, coeliac tips and more at: www.theglutenfreeblogger.com/ (or find her on socials @GFBlogger) Find her book Delicious Gluten Free Meals on Amazon and all good booksellers.Read more on the AI study mentioned in the podcast: https://www.cam.ac.uk/stories/AI-and-coeliac-diseaseCoeliac UK’s self-assessment tool for coeliac disease: https://isitcoeliacdisease.org.uk/ GET IN TOUCH: Oh Crumbs is a podcast gluten free podcast brought to you by coeliac bloggers Sarah Howells and Laura Strange. If you like it, please leave us a rating on the platform you're listening to, and follow us @ohcrumbspodcast on socials.

Oh Crumbs - The Gluten Free Podcast. A podcast about all things gluten free, coeliac disease and staying positive despite your dietary requirements. By gluten free bloggers Laura Strange and Sarah Howells. Brace for Christmas chaos! In this special festive episode we chat to fabulous gluten free blogger guests Bryony Hopkins, Lottie Drynan and Cristina Segovia about how to navigate the Christmas season when you have dietary requirements. We all get a bit hyperactive (alcohol may also have been consumed during the recording of this episode…), so brace for a lot of jingle bells, us laughing at our own jokes and mildly PG content about double dipping. We discuss: dairy free vs lactose free, gluten and dairy free Christmas dinner, low FODMAP meal options, top tips for staying safe and avoiding cross contamination stress at celebratory meals, the need for secret handbag snacks, what to do if you get glutened, gluten free vegetarian Christmas dinner options, party food, mince pies and lots more!USEFUL LINKS: Oh Crumbs Instagram: www.instagram.com/ohcrumbspodcast Oh Crumbs Facebook: www.facebook.com/ohcrumbspodcastAnd in case you are missing us during the season break :), find us on social media @gfblogger and @myglutenfreeguide.Bryony Hopkins: https://abellyfullof.com/ (or find Bryony on social media @bryonyhopkins).Lottie Drynan: https://thetummydiaries.com/ (or find Lottie on social media @thetummydiaries)Cristina Segovia: http://refrainfromthegrain.blogspot.com/ (or find Cristina on social media @refrainfromthegrain)Christmas food, guides and product reviews:Sarah’s ebook (use ‘OHCRUMBS’ at the checkout for 10% off!) https://payhip.com/b/Z5xYLaura’s Slow Roast Honey Ham https://www.mygfguide.com/slow-roasted-ham/Sarah’s Chocolate Yule Log https://theglutenfreeblogger.com/gluten-free-chocolate-yule-log-recipe/Laura’s Lemon Meringue Yule Log https://www.mygfguide.com/gluten-free-lemon-meringue-yule-log/Sarah’s Christmas Party Food Recipe Round-Uphttps://theglutenfreeblogger.com/gluten-free-christmas-party-food-recipes/ Laura’s Festive Party Food Guide https://www.mygfguide.com/gluten-free-festive-party-food/Sarah’s 45+ Christmas Products To Be Excited Abouthttps://theglutenfreeblogger.com/gluten-free-christmas-products-2019/Laura’s Gluten Free Gift Guide https://www.mygfguide.com/gluten-free-christmas-gift-guide-2019/Sarah’s Hacks for Surviving the Festive Periodhttps://theglutenfrOh Crumbs is a podcast gluten free podcast brought to you by coeliac bloggers Sarah Howells and Laura Strange. If you like it, please leave us a rating on the platform you're listening to, and follow us @ohcrumbspodcast on socials.

Oh Crumbs - The Gluten Free Podcast. A podcast about all things gluten free, coeliac disease and staying positive despite your dietary requirements. By gluten free bloggers Laura Strange and Sarah Howells. Episode 14 - this week’s podcast is the last in this series! But don’t fret, we will be back soon with our Christmas special before we kick off series 2 in 2020. This week you will find out Sarah’s big secret project plus some of the tasty Christmas snacks we have been tempted into eating early. Listen to find out why Sarah nearly cried in the middle of Asda, Laura’s newest crisp addiction and where you can buy the best gluten free birthday and celebration cakes from. We also answer a reader question about whether oats are gluten free, how to reintroduce them into your diet if you have cut them out and why gluten free oats are so much more expensive.This week’s 'interview' is a round up of all the best tips and advice we learnt from our brilliant Series 1 guests, who each week shared a pearl of wisdom. There was so much uplifting discussion and positivity that we want to bring that all together to create one big happy send off for this first series :)USEFUL LINKS: Oh Crumbs Instagram: www.instagram.com/ohcrumbspodcast Oh Crumbs Facebook: www.facebook.com/ohcrumbspodcastAnd in case you miss us during the season break :), find us on social media @gfblogger and @myglutenfreeguide.Gluten Free Birthday Cakes – What’s Available and Where to Buy Them: https://www.mygfguide.com/gluten-free-birthday-cake-guide Gluten Free Christmas Products: https://theglutenfreeblogger.com/gluten-free-christmas-products-2019/GET IN TOUCH: [email protected] Music: 'Sunny' from Bensound.comOh Crumbs is a podcast gluten free podcast brought to you by coeliac bloggers Sarah Howells and Laura Strange. If you like it, please leave us a rating on the platform you're listening to, and follow us @ohcrumbspodcast on socials.

Oh Crumbs - The Gluten Free Podcast. A podcast about all things gluten free, coeliac disease and staying positive despite your dietary requirements. By gluten free bloggers Laura Strange and Sarah Howells. Episode 13 - this week’s podcast is sugar-fuelled by gluten free doughnuts thanks to our absolute hero of a guest, Ryan Panchoo, who brought us some tasty treats to eat during this interview! Ryan is the founder of Borough 22, a gluten free vegan doughnut company based in London (who deliver across the UK). Borough 22 is a business bourne out of Ryan’s love for his family - with no decent products on the market that would satisfy their multiple dietary requirements, Ryan initially set out to simply create a delicious treat that his wife and children could eat.Fast forward several years Ryan now has a full time doughnut empire on his hands! We chatted to Ryan about why kids make the best recipe reviewers, the early days of his business, road tripping to the South West with a car full of doughnuts, using social media to grow your business, getting stocked Selfridges, having to rapidly learn the ropes, why sometimes you need to take a step back in order to improve, leaving his day job, how to safely produce gluten free products and the best egg substitutes in vegan baking.Before the interview, we have a Wetherspoon update for you, a shout out for Justin Bieber, details of Laura’s unfortunate kitchen disaster (and some spooky recipes in the works), a roundup of all the best gluten free Halloween product treats and some tips on how to handle being a gluten free guest at weddings.USEFUL LINKS: Oh Crumbs Instagram: www.instagram.com/ohcrumbspodcast Oh Crumbs Facebook: www.facebook.com/ohcrumbspodcastBorough 22 website: https://www.honestburgers.co.uk/ (or you can also find Ryan on social media @borough22)Halloween Product Round Up: https://www.mygfguide.com/gluten-free-halloween-products-2019/Update on Wetherspoon's gluten free menu: https://theglutenfreeblogger.com/wetherspoons-what-you-can-eat/GET IN TOUCH: [email protected] Music: 'Sunny' from Bensound.comOh Crumbs is a podcast gluten free podcast brought to you by coeliac bloggers Sarah Howells and Laura Strange. If you like it, please leave us a rating on the platform you're listening to, and follow us @ohcrumbspodcast on socials.

OH CRUMBS EPISODE 11 FEAT TOM BARTON (HONEST BURGERS FOUNDER)Oh Crumbs - The Gluten Free Podcast. A podcast about all things gluten free, coeliac disease and staying positive despite your dietary requirements. By gluten free bloggers Laura Strange and Sarah Howells. Episode 12 - this week we headed down to Brixton market in London to interview Tom Barton, one of the co-founders of the Honest Burgers restaurant chain. Honest Burgers have an incredible array of gluten free choices on their menu and are very popular with coeliac and other gluten free customers because of this. We chatted to Tom about how Honest Burgers got started, why they began offering gluten free food a decade ago, gluten free flour vs gluten flour, the importance of catering safely for allergy sufferers and being inclusive, finding the right gluten free buns for their burgers, processes used to limit the risk of cross contamination and potential plans for international expansion.  Before the interview, Laura and Sarah talk about Sarah’s top secret project, gluten free Halloween, Wetherspoons, Pizza Express, barley malt vinegar and the gluten-y foods we really miss (and where you can get the best gluten free alternatives). USEFUL LINKS: Oh Crumbs Instagram: www.instagram.com/ohcrumbspodcast Oh Crumbs Facebook: www.facebook.com/ohcrumbspodcastHonest Burgers website: https://www.honestburgers.co.uk/Halloween Recipes & Product Tips (lots coming next week, but here’s one to keep you going in the meantime :D): https://www.mygfguide.com/gluten-free-halloween-ghoulish-cookie-cupcakes/Wetherspoons Update - will be shared here once Sarah receives an update: https://theglutenfreeblogger.com/wetherspoons-what-you-can-eat/Balt Malt Extract: https://www.coeliac.org.uk/frequently-asked-questions/what-is-barley-malt-extract/Coeliac UK helpline (Mon-Fri, 9am-5pm): 0333 332 2033GET IN TOUCH: [email protected] Music: 'Sunny' from Bensound.comOh Crumbs is a podcast gluten free podcast brought to you by coeliac bloggers Sarah Howells and Laura Strange. If you like it, please leave us a rating on the platform you're listening to, and follow us @ohcrumbspodcast on socials.

OH CRUMBS EPISODE 11 FEAT LAURA STRANGE (MY GLUTEN FREE GUIDE)Oh Crumbs - The Gluten Free Podcast. A podcast about all things gluten free, coeliac disease and staying positive despite your dietary requirements. By gluten free bloggers Laura Strange and Sarah Howells. Episode 11 - this week Sarah asks Laura about her life as a coeliac, with Laura being diagnosed 20 years ago. We touch on some very personal topics in the hope this might be helpful for some of our listeners going through similar experiences, including fertility issues. Sarah and Laura chat about: Laura’s coeliac diagnosis, anaemia and severe weight loss as symptoms of CD, life before and after diagnosis (including some tricky teenage years), Laura’s gluten free travel adventures and why travelling with a newborn is actually much easier than you would think. We also discuss infertility fears, how not to let them get you down and why you shouldn’t give up hope, coeliac pregnancy and tips for how to stay healthy, getting glutened when pregnant, weaning a child at risk of coeliac disease and how to handle cross contamination when you are the coeliac parent to a (hopefully) non-coeliac child.  Before the interview, Laura and Sarah talk about gluten free afternoon tea and pastries in London, a gluten free baking course in Devon, katsu curry, our VERY different opinions about gluten free Christmas products being launched so early and the variety of coeliac symptoms that people can experience. USEFUL LINKS: Oh Crumbs Instagram: www.instagram.com/ohcrumbspodcast Oh Crumbs Facebook: www.facebook.com/ohcrumbspodcastLaura’s website: https://www.mygfguide.com/ (or find her on Instagram/Facebook @myglutenfreeguide or on Twitter @my_gfree_guide)Other gluten free travel bloggers to check out on Instagram: @thesightseeingcoeliac, @forglutensake, @glutenfreeglobetrotter.GET IN TOUCH: [email protected] Music: 'Sunny' from Bensound.comOh Crumbs is a podcast gluten free podcast brought to you by coeliac bloggers Sarah Howells and Laura Strange. If you like it, please leave us a rating on the platform you're listening to, and follow us @ohcrumbspodcast on socials.

OH CRUMBS EPISODE 10 FEAT ELLE NEXT DOOR Oh Crumbs - The Gluten Free Podcast. A podcast about all things gluten free, coeliac disease and staying positive despite your dietary requirements. By gluten free bloggers Laura Strange and Sarah Howells. Episode 10 - we had a right old coeliac chinwag this week with incredible fashion and lifestyle influencer Ellie Adams, who you will likely know as Elle Next Door! Elle was diagnosed with coeliac disease 10 years ago after a serious period of illness and huge weight loss, yet the silver lining of her illness has been her successful blogging career. We chat about: how hard Elle found the initial transition to gluten free, how having a supportive family makes it so much easier, many accidental glutenings in the early days, how Elle got started as a blogger, being coeliac at fashion events, the best and worst places for gluten free travel and her new range of slogan t-shirts.Before the interview, Laura and Sarah talk about gluten free travel (especially Italy and Mexico), whether gluten is a dating deal breaker, tips for dating when you are coeliac and why you should kick those gluten free haters to the curb.COMPETITION TIME: We have teamed up with Elle to offer you the chance to win one her brand new t-shirts in a design of your choice! Head over to our Instagram page now for details of how to enter.USEFUL LINKS: Oh Crumbs Instagram: www.instagram.com/ohcrumbspodcast Oh Crumbs Facebook: www.facebook.com/ohcrumbspodcastElle’s website: https://theellenextdoor.com/ (or discover her colourful Instagram account @ellenextdoor)Laura’s Gluten Free Italy Guides: https://www.mygfguide.com/gluten-free-italy/Sarah's top tips for gluten free all-inclusive holidays: https://theglutenfreeblogger.com/top-tips-for-coeliacs-tackling-the-all-inclusive-buffet-on-holiday/GET IN TOUCH: [email protected] Music: 'Sunny' from Bensound.comOh Crumbs is a podcast gluten free podcast brought to you by coeliac bloggers Sarah Howells and Laura Strange. If you like it, please leave us a rating on the platform you're listening to, and follow us @ohcrumbspodcast on socials.

OH CRUMBS EPISODE 9 FEAT DAVID TOWSE Oh Crumbs - The Gluten Free Podcast. A podcast about all things gluten free, coeliac disease and staying positive despite your dietary requirements. By gluten free bloggers Laura Strange and Sarah Howells. (This week's episode is sponsored by Dorset Cereals, who have just brought two brand new gluten free muesli flavours to free from shelves in selected Waitrose and ASDA stores.)Episode 9 - this week our guest is David Towse, who is head of brand for this episode’s sponsors, Dorset Cereals. David is gluten free himself so he has a real personal attachment to the brand’s new free from range.As well as talking about his own experience and why he never got an official coeliac disease diagnosis, David also gave us a great insight into exactly what goes into bringing a gluten free product to market. We chatted about how long it takes to develop an idea into a product, sourcing safe manufacturing space, the cost of gluten free food and the growth of the free from and vegan markets.  We also talked about the GLUTEN FREE DREAM FARM - and yes, this place is as magical as it sounds!Before the interview, Laura and Sarah talked about gluten free mini breaks, and - yes you heard right - gluten detecting dogs! Apparently this is a thing - let us know what you think!COMPETITION TIME: This week our sponsors Dorset Cereals are giving you a chance to win one of FIVE gluten free breakfast hampers featuring their brand new gluten free muesli. Head to our Instagram page for details on how to enter.USEFUL LINKS: Oh Crumbs Instagram: www.instagram.com/ohcrumbspodcast Oh Crumbs Facebook: www.facebook.com/ohcrumbspodcastDorset Cereals’ website: https://www.dorsetcereals.co.uk (or find them on social media @dorsetcereals)A gluten free weekend away in Ramsgate, Kent: https://www.mygfguide.com/gluten-free-ramsgate-weekend-break/Commonly asked questions about coeliac/gluten free:  https://theglutenfreeblogger.com/coeliac-FAQs/GET IN TOUCH: [email protected] Music: 'Sunny' from Bensound.comOh Crumbs is a podcast gluten free podcast brought to you by coeliac bloggers Sarah Howells and Laura Strange. If you like it, please leave us a rating on the platform you're listening to, and follow us @ohcrumbspodcast on socials.

OH CRUMBS EPISODE 8 FEAT HOWARD MIDDLETONOh Crumbs - The Gluten Free Podcast. A podcast about all things gluten free, coeliac disease and staying positive despite your dietary requirements. By gluten free bloggers Laura Strange and Sarah Howells. Episode 8 - our guest this week is Howard Middleton, gluten free baking guru and former The Great British Bake Off Season 4 contestant! Howard chose to bake a gluten free cake during week 1 of Bake Off, which delighted the judges and smashed their preconceptions of gluten free baking. He now teaches gluten free baking masterclasses and is author of cookbook Delicious Gluten Free Baking. We chatted to Howard about: life in the Bake Off tent and behind the scenes, challenging yourself and getting creative with gluten free baking, drawing inspiration from other countries’ cuisines, choosing to bake “free to” rather than “free from”, whether Paul is really as mean as he seems, how Howard applied for the show - a new year’s resolution gone very right, the competitive process of getting on the show, cutting the end of his thumb off and having to go to A&E in week 1, his new Bake Off commentary podcast, Sue accidentally squashing his muffins and the infamous 'custardgate'.Before the interview, Laura and Sarah talk about the challenges of going gluten free and some top tips and advice on how to stay positive. As well as the importance of asking for help when you need it. Oh and our adventures in Somerset and Devon this week!COMPETITION TIME: Oh Crumbs is giving you the chance to win a place on one of Howard's upcoming Bake With A Legend courses in Manchester (October 19, 2019) or London (October 26, 2019). Bake With A Legend offers public baking classes with former GBBO contestants - and Howard is the gluten free king! Head to our Instagram for details on how to enter.USEFUL LINKS: Oh Crumbs Instagram: www.instagram.com/ohcrumbspodcast Oh Crumbs Facebook: www.facebook.com/ohcrumbspodcastHoward Middleton’s website: http://howardmiddleton.com/ (or find Howard on social media @howardmiddlebun)UK Fish & Chips Gluten Free Guide: https://www.mygfguide.com/gluten-free-fish-chips-uk-coeliac-friendly/North Devon Gluten Free Guide: https://theglutenfreeblogger.com/gluten-free-barnstaple-north-devon/Somerset Gluten Free Guide: https://www.mygfguide.com/gluten-free-somerset/And a final dose of positivity:Eight reasons to stay positive about gluten free life: https://theglutenfreeblogger.com/the-coeliac-series-eight-reasons-to-stay-positive-about-gluten-free-life/ 19 things you’ll understand if you have coeliac disease: https://theglutenfreeblogger.com/19-things-youll-only-understand-if-you-have-coeliac-disease/20 reasons being gluten free does not suck: https://www.mygfguide.com/20-reasons-being-glutOh Crumbs is a podcast gluten free podcast brought to you by coeliac bloggers Sarah Howells and Laura Strange. If you like it, please leave us a rating on the platform you're listening to, and follow us @ohcrumbspodcast on socials.

OH CRUMBS EPISODE 7 FEAT EMMA HATCHER Oh Crumbs - The Gluten Free Podcast. A podcast about all things gluten free, coeliac disease and staying positive despite your dietary requirements. By gluten free bloggers Laura Strange and Sarah Howells. Episode 7 - we are joined by cookery book author and blogger Emma Hatcher this week, who blogs as She Can’t Eat What. Emma suffers from IBS and used the low FODMAP to help discover her specific dietary requirements. She is author of excellent cookbook the FODMAP Friendly Kitchen Cookbook and regularly posts new low FODMAP recipes on her website too. We chatted to Emma about: her initial IBS diagnosis, realising that being gluten free wasn’t enough and her struggle to identify what was bothering her sensitive gut, what the three phases of the low FODMAP diet actually are and how you should put them into practice, identifying your personal food triggers, reducing stress around dining at restaurants and eating at friends’ houses, the best brands for low FODMAP products, practical cooking tips for how to replace the high FODMAP foods you miss and how Canada is ahead of the game for gluten free food. Before the interview, Laura and Sarah talk about the very gluten free friendly London Brunch Festival (which showcased some of London’s top brunch spots), cross contamination in coffee shops, an epic afternoon tea and how not to feel like an awkward coeliac in restaurants.COMPETITION TIME: Oh Crumbs is giving you the chance to win a copy of Emma’s fab low FODMAP cookbook “The FODMAP Friendly Kitchen Cookbook”. Head over to our Instagram page now for details of how to enter!USEFUL LINKS: Oh Crumbs Instagram: www.instagram.com/ohcrumbspodcast Oh Crumbs Facebook: www.facebook.com/ohcrumbspodcastEmma Hatcher’s website: http://www.shecanteatwhat.com/ (or find Emma on social media @shecanteatwhat)White Chocolate & Raspberry Cake: https://theglutenfreeblogger.com/gluten-free-white-chocolate-and-raspberry-cake/Easy Gluten Free Cupcakes: https://www.mygfguide.com/gluten-free-cupcakes-recipe/Tips for Eating in Restaurants When You Are Gluten Free: https://www.mygfguide.com/coeliac-eating-out-restaurant-tips/Borough Market Gluten Free Guide: https://www.mygfguide.com/gluten-free-borough-market-london/ GET IN TOUCH: [email protected] Music: 'Sunny' from Bensound.comOh Crumbs is a podcast gluten free podcast brought to you by coeliac bloggers Sarah Howells and Laura Strange. If you like it, please leave us a rating on the platform you're listening to, and follow us @ohcrumbspodcast on socials.